Sample Record

Owner Lab

  • CT HQ - Sacramento Cement Testing Laboratory

DIME Sample ID 2018-10-15-4

Project Information

Project IdentifiersProject ID: 211848
DEA: 112T2174
EFIS: 1116000131
DIST-CO-RTE-PM11-SD-5-R37.4 - R46.5
Award Date12/22/2016
Closeout DateNot set
Work Description(Alternative Delivery) CMGC, San Elijo Highway Bridge Replacement. Replace the San Elijo lagoon highway bridge, construct HOV lanes, construct bike and pedestrian trails and bridge, build multi-use facility at Manchester Ave.
Location DescriptionIN SAN DIEGO COUNTY IN SOLANA BEACH AND ENCINITAS FROM 0.1 MILE NORTH OF LOMAS SANTA FE DRIVE OVERCROSSING TO 0.2 MILE SOUTH OF BIRMINGHAM DRIVE OVERCROSSING
QA Service Level1 (Verified on 01/31/2017)

Sample Information

Sample Taken Date10/15/2018 Sample Unique Key4
Will the laboratory/organization for which you are a member perform testing on this material sample?Yes Date that the sample was received by the laboratory/organization performing the testing10/15/2018
Sample typePer Request A brief description of the sampleType II Cement
The quantity of what the sample constitutes1 bag From where was the sample collectedJob Site
First name of sampler or witnessed byna Last name of sampler or witnessed byna
Title of samplerUnknown Telephone number of samplerUnknown
Laboratory sample identificationCM183802 Linked DIME Sample IDUnknown
The fabricator/manufacturer/facility nameMitsubishi Transportation Laboratory (TL) NumberUnknown
Inspector Lot Number from the Transportation Laboratory (TL) FormUnknown Structure unique identifierNot set
Structure nameNot set

Material Information

Material TypeCementitious BrandMitsubishi
MillCushenbury Type of Cementitious MaterialType II Cement

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments